Volunteer Application

Thank you for your interest in volunteering at Essential Health Clinic. Separate application forms are provided below for volunteers who are licensed clinicians and for all other volunteers. In addition, the Oregon Medical Board and Oregon State Board of Nursing liability cap forms are provided for licensed clinicians. All volunteers are requested to read the Volunteer & Intern Policy and Procedure Manual and to sign and submit the signature page along with other required forms.
All application materials should be returned to:
Karen Young
Volunteer Coordinator
Essential Health Clinic
266 W. Main St., MS68
Hillsboro, OR 97123

For questions or additional information contact Karen at: karen.young@essentialhealthclinic.org

Clinical Providers (MD, DO, DPM, NP, RN, PA-C)

The Provider Volunteer Application form is to be completed by all licensed clinicians.
Provider Volunteer Application.pdf
click to download
The Oregon Medical Board Liability form below is to be completed by all volunteer providers.
Please return only page 2 of the form to Essential Health Clinic.
List your "Practice Address" as 266 W. Main St., MS68, Hillsboro, OR 97123.
List your "Practice Phone Number" as 503-846-4919.
Liability - Providers.pdf
click to download
The Oregon State Board of Nursing Liability Cap form is to be completed by all volunteer nurses. Please write in your home address when asked for mailing address.
Liability - Nurses.pdf
click to download

Non-Clinical Volunteers

The Volunteer Application below is for the following positions: Front desk (intake), English/Spanish medical interpreter, patient vitals/lab assistant (MA, CNA, EMT, etc.), and administrative positions.
Non-Clinical Volunteer Application.pdf
click to download

Volunteer Policy and Procedures Manual

The Volunteer & Intern Policy and Procedure Manual provides information on clinical operations, volunteer job descriptions, and outlines our expectations for volunteers at Essential Health Clinic. Please read and familiarize yourself with the contents of the manual. After you have read the complete manual, sign and submit the signature page along with application forms to the Essential Health Clinic Volunteer Coordinator. If you have any questions about the contents of the manual, please contact the Essential Health Clinic Volunteer Coordinator.
Volunteer & Intern Policy:Procedures Manual.pdf
click to download
Policy Manual Signature Page.pdf
click to download